MCMedicalCodingSoftware
L29.81

L29.81Cholestatic pruritus

Billable / specific codeICD-10-CM

L29.81 is a billable, specific ICD-10-CM code for cholestatic pruritus. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

  • , if applicable, type of liver disease

Excludes1 inherited from the categories above L29.81

These are not written on L29.81, but they bind it: a note on a category applies to every code beneath it. Billing L29.81 with anything listed here is a denial.

Written on L29 Pruritus

  • neurotic excoriation (L98.1)
  • psychogenic pruritus (F45.8)

Risk adjustment

L29.81 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How L29.81 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to L29.81.

  • Pruritus, pruriticcholestatic

Code history

What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.

  • addedFY2024-FY2026

    Cholestatic pruritus

Related codes at this level

Codes that share L29.8. If L29.81 is not quite right, the correct code is usually one of these.

Questions about L29.81

Is L29.81 a billable ICD-10-CM code?
Yes. L29.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L29.81 sit in the tabular list?
Diseases of the skin and subcutaneous tissue (L00-L99), in the block Dermatitis and eczema (L20-L30).
What cannot be coded together with L29.81?
L29.81 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above L29.81 (L29) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.